Individual provider Active NPI

Irina Blustein, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1407114358
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006614 Issued in NY
Practice address
2680 E 28TH St
Brooklyn, NY 11235-2425
Phone
(917) 476-5791
NPI assigned
Apr 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006614 NY Primary

Addresses

Primary practice location

2680 E 28TH St
Brooklyn, NY 11235-2425

Mailing address

2546E 13TH St B3
Brooklyn, NY 11235-4306
Phone (917) 476-5791

Other names 1

  • Dr. Irina Pisaryuk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201001809 NY Practitioner - Podiatry 2163722984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
E Youngewirth DPM PLLCGroup PAC ID 1759402225, 2 clinicians

Practice addresses (Care Compare)

4915 Broadway
New York, NY 10034-3119
Phone (212) 567-6126

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue508
Removal or shaving of skin growth295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed Care PC CurrentSince May 5, 2016 Accepting new patients
E Youngewirth DPM PLLC Podiatrist CurrentSince Feb 11, 2024 Accepting new patients
Blue Stone Podiatry PLLC Past Accepting new patients

Locations

3048 Brighton 1st St
Ste 1
Brooklyn, NY 11235
Phone (718) 368-1170

3048 Brighton 1st St
Brooklyn, NY 11235
Phone (718) 368-1170

4915 Broadway
New York, NY 10034
Phone (212) 304-4646

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1407114358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546E 13TH ST B3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354306",
            "telephone_number": "917-476-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352425",
            "telephone_number": "917-476-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUSTEIN",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-29",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRINA",
            "last_name": "PISARYUK",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.